Triebel H J, Kanzow G, Heller M, Magnussen H, Bücheler E
Radiologische Klinik, Universitätsklinik Hamburg-Eppendorf.
Rofo. 1990 Nov;153(5):557-64. doi: 10.1055/s-2008-1033438.
The CT findings in the lungs of 52 patients with histologically confirmed sarcoidosis are described. In addition to a nodular pattern, reticulo-nodular, reticular, diffuse infiltrative and streaky shadowing due to fibrosis could be recognised. Pleural lesions, bronchial ectasis and mediastinal and hilar lymph node changes could be diagnosed. The high sensitivity of CT contrasted with its relatively low specificity. At present CT is useful for analysing the pulmonary pattern when planning lung biopsy or lavage. In some cases, the diagnosis of pulmonary sarcoidosis can be made by CT, but the exact criteria for diagnosis and differential diagnosis must be borne in mind.
本文描述了52例经组织学确诊的结节病患者肺部的CT表现。除结节状表现外，还可识别出网状结节状、网状、弥漫性浸润性及纤维化所致的条索状阴影。可诊断出胸膜病变、支气管扩张以及纵隔和肺门淋巴结改变。CT的高敏感性与其相对较低的特异性形成对比。目前，CT在规划肺活检或灌洗时，有助于分析肺部表现。在某些情况下，CT可作出肺结节病的诊断，但必须牢记确切的诊断及鉴别诊断标准。
